Abstract
A 75-year-old woman was admitted to our hospital because of hematochezia. She had chronic constipation and had not defecated for the last 5 days. In the ER, slight tenderness was observed; however, abdominal X-P revealed no particular signs. Nonetheless, abdominal computed tomography (CT) revealed a rectal perforation. Therefore, emergency surgery was performed. On laparotomy, no contamination was observed in the abdomen. We constructed a stoma with the sigmoid colon, and a colorectal drainage tube was inserted. The postoperative course was uneventful. The tube was removed on the 11th postoperative day, and the patient was discharged on the 17th postoperative day. Hartmann’s procedure or simple closure of the perforated site and creating colostomy are often selected for rectal perforation. Here, we report on a successful case of a rectal perforation using a colorectal drainage tube and covering colostomy.
